During the course of surgery, a patient exhibits tachycardia, diaphoresis, and rising body temperature. The priority intervention by the circulating nurse is to:

a. continue to monitor the patient for any further changes in condition.
b. note the patient's oxygen saturation and blood pressure.
c. ask the scrub nurse to verify the assess-ment findings.
d. alert the anesthesiologist and surgeon immediately.


D
These are signs of malignant hyperthermia, along with arrhythmias, muscle rigidity, and hypo-tension. The anesthesiologist and surgeon should be notified immediately because malignant hyperthermia is a medical emergency.

Nursing

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